Authors (including presenting author) :
Yip WM, Ho WF, Chow FY, Ng CK, Tsue SK, Leong YY
Affiliation :
Central Nursing Division, Princess Margaret Hospital
Introduction :
Patient Care Assistants (PCAs) (IPS) work closely with nursing team in providing care to patients in different clinical settings. As busy clinical settings require skillful and efficient caregivers, it is difficult for mentors to provide on-the-job coaching efficiently. Moreover, no practical workshop was provided to newly recruited PCAs. They expressed feeling stressful and difficult in completing the task on time with required standard. A scenario-based workshop was organized for them to strengthen their skills to enhance their competence and confidence, thus establishing a trust rapport with colleagues.
Objectives :
- Enhance PCAs to familiarize with the daily hospital routine and workflow - Enhance patient safety in daily patient care
- Enhance PCAs’ awareness on Manual Handling Operations (MHO) and infection control (IC) during caring
Methodology :
The components of the workshop include:
1. Theoretical lecture
- Six domains were cover discussed: patient identification, safe practice of physical restraint, prevention of fall, prevention of needle-pricked injury, IC practice on emptying urine bag and prevention of pressure injury 2. Practical demonstration
- Clinical scenarios were designed for practice
3. Return demonstration with assessment
- A set of assessment checklist was developed
4. Spot the errors
- Identify and correct errors in designed scenario with adverse clinical situation by participants
5. Written assessment
- Multiple choice questions with a passing score of 70%
6. Course evaluation
- Evaluation was performed for future improvement
Result & Outcome :
Five workshops were conducted from September 2020 to January 2021 with 82 participants. The passing rate of the written assessment was 100%. All participants agreed that ‘Spot the errors’ could enhance their awareness of patient safety. 99% of them agreed that theoretical lecture could strengthen their knowledge while scenario-based practical demonstration could enhance clinical skills. 99% of them expressed that the workshop was applicable and would recommend it to their colleagues. 65% of them opined that safe application of physical restraint was practical. 37% of them would like to further strengthen their MHO concept and application. The Scenario-based workshop strengthened PCAs skills and knowledge.
Feedbacks from supervisors reflected that PCAs could adopt ward routine faster than those without receiving this training. They demonstrated safe practice to patients. The content of MHO and safety application of physical restraint would be enhanced in the coming training.
